FDA Adverse Event Injury Summary report: N

CRYSTALENS ACCOMMDATING IOL

MDR report key: 4081101 · Received August 29, 2014

Report

Report Number
2031924-2014-00222
Event Type
Injury
Date Received
August 29, 2014
Date of Event
July 28, 2014
Report Date
August 1, 2014
Manufacturer
BAUSCH + LOMB
Product Code
NAA
PMA / PMN Number
P030002
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION OF THIS EVENT IS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PT PRESENTED WITH "Z-SYNDROME." APPROXIMATELY 6 WEEKS POST IMPLANTATION, THE LENS WAS REPOSITIONED. TWO DAYS AFTER THE FIRST LENS REPOSITION, THE LENS WAS REPOSITIONED A SECOND TIME. ADDITIONAL INFO HAS BEEN REQUESTED, BUT NO ADDITIONAL INFO HAS BEEN RECEIVED BY BAUSCH + LOMB TO DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
527638 CRYSTALENS ACCOMMDATING IOL LENS, INTRAOCULAR, ACCOMODATIVE NAA BAUSCH + LOMB AT50AO 7368018

Patients

Seq Age Sex Outcome Treatment
1 Other